Individual provider · Type 1 NPI
Shiva Wilson
Mental Health Counselor · Menlo Park, CA
NPI number
1902572308
Active
Practice location
1225 Crane St Ste 205
Menlo Park, CA 94025-4253
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 19207 (CA) |
Mental Health Counselor: Definition to come...
Another provider at this address
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About NPI 1902572308
Shiva Wilson's National Provider Identifier is 1902572308, issued on Aug 17, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Menlo Park, CA. The record was last updated on Sep 29, 2025.